Individual provider Active NPI

Alexandra Lauren Tabakin, MD

  • Urology Physician
  • New Brunswick, NJ
National Provider Identifier
1982132684
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA10997100 Issued in NJ
Practice address
PO Box 19
New Brunswick, NJ 08903-0019
Phone
(732) 235-7674
Fax
(732) 235-8372
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 390200000X NJ
Urology Physician 208800000X 25MA10997100 NJ Primary

Addresses

Primary practice location

PO Box 19
New Brunswick, NJ 08903-0019

Mailing address

4 Knollwood Ter
Randolph, NJ 07869-3012
Phone (862) 812-7749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822001171 NJ Practitioner - Urology 5193225316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rutgers Health-RWJ Neurosurgery Faculty 189 clinicians

Practice addresses (Care Compare)

18 Centre Dr
Monroe, NJ 08831-1501
Phone (732) 235-7816

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10997100NJMDUrology Physician
390200000XNJMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty Urology Current Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jun 9, 2025 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jun 9, 2025 Accepting new patients
Robert Wood Johnson Medical School Past Accepting new patients
Umdnj-RWJ Hospital Past Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Past Accepting new patients

Locations

18 Centre Dr
Monroe Twp, NJ 08831
Phone (609) 655-4200

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1982132684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KNOLLWOOD TER",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693012",
            "telephone_number": "862-812-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089030019",
            "telephone_number": "732-235-7674",
            "fax_number": "732-235-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAKIN",
        "first_name": "ALEXANDRA",
        "middle_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA10997100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.